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General NPI Number Information
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NPI Number | 1184591380
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Entity Type | Individual
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Provider Name | GUILLERMO JUAREZ-ROBESON
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Gender | Male
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 19578 W HARRISON ST
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City | BUCKEYE
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State | AZ
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Zip | 85326-8205
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Country | US
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Telephone | 520-234-8822
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Fax |
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Provider Business Mailing Address
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Address Line | 19578 W HARRISON ST
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City | BUCKEYE
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State | AZ
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Zip | 85326-8205
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Country | US
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Telephone | 520-234-8822
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | ALM-013237
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License Number State | AZ
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